Periporitis of the infant L02.8

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

disseminated hidrosadenitis multiplex; Hidrosadenitis multiplex disseminated; Multiple sweat gland abscesses of the infant; Staphylodermia sudoripara suppurativa; staphylodermia suppurativa disseminata; Sweat gland abscesses eccrine; Sweat gland abscesses of infants multiple

History
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Son of Jada, Joseph

Definition
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Acute staphylococcal infection of the eccrine sweat glands.

Pathogen
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Staphylococcus aureus.

Etiopathogenesis
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Penetration of the pathogens via the ostia of the eccrine sweat glands, possibly haematogenic.

Manifestation
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Weakened or dystrophic infants.

Localization
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Mostly head, back, buttocks.

Clinical features
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Superficial pustules (periporitis) next to red, hazelnut to cherry-sized, deep-seated, fluctuating, livid-red nodules with central breakthrough of a pus accumulation.

Histology
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Leucocyte inhibition of the eccrine sweat glands. Intraepithelial pustule, leukocytes, staphylococci.

Complication(s)
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Phlegmon-like processes, fistula formation.

External therapy
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Bandages with disinfectant creams such as 0.5% clioquinol cream/ointment(Linola-Sept, R049 ).

Internal therapy
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Antibiotics after antibiotic treatment. Since some staphylococci are resistant to penicillin, the initial therapy must be chosen carefully. Penicillinase-resistant penicillins such as dicloxacillin (e.g. InfectoStaph) or cephalosporins such as cefotaxime (e.g. Claforan) are suitable.

Operative therapie
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Surgical procedure may be necessary (abscess splitting).

Disclaimer

Please ask your physician for a reliable diagnosis. This website is only meant as a reference.

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Last updated on: 29.10.2020